Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide

Advances in transcatheter structural heart interventions and temporary mechanical circulatory support have led to increased demand for alternative sites for large-bore vascular access. Percutaneous axillary artery access is an appealing alternative to femoral access in patients with peripheral arter...

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Autores principales: Kathryn Dawson, Tara L Jones, Kathleen E Kearney, James M McCabe
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Lenguaje:EN
Publicado: Radcliffe Medical Media 2020
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Acceso en línea:https://doaj.org/article/925fde46350d4bad952e67c1b67e2df1
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spelling oai:doaj.org-article:925fde46350d4bad952e67c1b67e2df12021-12-04T16:03:09ZEmerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide10.15420/icr.2019.221756-14851756-1477https://doaj.org/article/925fde46350d4bad952e67c1b67e2df12020-06-01T00:00:00Zhttps://www.icrjournal.com/articleindex/icr.2019.22https://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485Advances in transcatheter structural heart interventions and temporary mechanical circulatory support have led to increased demand for alternative sites for large-bore vascular access. Percutaneous axillary artery access is an appealing alternative to femoral access in patients with peripheral arterial disease, obesity or for prolonged haemodynamic support where patient mobilisation may be valuable. In particular, axillary access for mechanical circulatory support allows for increased mobility while using the device, facilitating physical therapy and reducing morbidity associated with prolonged bed rest. This article outlines the basic approach to percutaneous axillary vascular access, including patient selection and procedure planning, anatomic axillary artery landmarks, access techniques, sheath removal and management of complications.Kathryn DawsonTara L JonesKathleen E KearneyJames M McCabeRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 15, Iss , Pp - (2020)
institution DOAJ
collection DOAJ
language EN
topic Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
Kathryn Dawson
Tara L Jones
Kathleen E Kearney
James M McCabe
Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide
description Advances in transcatheter structural heart interventions and temporary mechanical circulatory support have led to increased demand for alternative sites for large-bore vascular access. Percutaneous axillary artery access is an appealing alternative to femoral access in patients with peripheral arterial disease, obesity or for prolonged haemodynamic support where patient mobilisation may be valuable. In particular, axillary access for mechanical circulatory support allows for increased mobility while using the device, facilitating physical therapy and reducing morbidity associated with prolonged bed rest. This article outlines the basic approach to percutaneous axillary vascular access, including patient selection and procedure planning, anatomic axillary artery landmarks, access techniques, sheath removal and management of complications.
format article
author Kathryn Dawson
Tara L Jones
Kathleen E Kearney
James M McCabe
author_facet Kathryn Dawson
Tara L Jones
Kathleen E Kearney
James M McCabe
author_sort Kathryn Dawson
title Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide
title_short Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide
title_full Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide
title_fullStr Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide
title_full_unstemmed Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide
title_sort emerging role of large-bore percutaneous axillary vascular access: a step-by-step guide
publisher Radcliffe Medical Media
publishDate 2020
url https://doaj.org/article/925fde46350d4bad952e67c1b67e2df1
work_keys_str_mv AT kathryndawson emergingroleoflargeborepercutaneousaxillaryvascularaccessastepbystepguide
AT taraljones emergingroleoflargeborepercutaneousaxillaryvascularaccessastepbystepguide
AT kathleenekearney emergingroleoflargeborepercutaneousaxillaryvascularaccessastepbystepguide
AT jamesmmccabe emergingroleoflargeborepercutaneousaxillaryvascularaccessastepbystepguide
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